Jacqueline: My name is Jacqueline, I'm Dr. Amron's patient care coordinator. I've been with him for almost two years now and today is my surgery day, and I'm really excited. Today I'm going to be doing mini lipo of the upper-outer thighs. It is a problem area that I've had since I was 12 years old and no matter what I do, diet and exercise, that's the trouble spot. That's the spot that is never going to leave, and I'm very excited to have it taken care of.

Dr. Amron: I was glad she asked me, and so I evaluated her and actually she was not a perfect candidate. She really falls into the category of what I call mini liposuction, where it's really one or two areas with an under one hour of course local anesthesia, which is the preferred method that I use. In essence, it's mini liposuction on her.

Jacqueline: Dr. Amron has a really unique approach to what he likes to call the aging face, and he really takes his time to evaluate each patient and go through the different ways that the face ages. Because I'm 43, I'm sort of heading that way, and today we're also going to do fat transfer.

Dr. Amron: It's also in her case evaluation of her face, because Jacqueline's a very pretty girl but she has some changes taking place that can easily be hugely improved without getting into extensive surgical stuff. I've done little things on Jacqueline over a couple years, I've done Botox on her, a little bit of Restylane and filler in areas, I just did fractional CO2 on her to improve her skin, texture improved fine wrinkling on her. In Jacqueline's case she was a great candidate for fat transfer. She needed volume replenishment. Fat's a great material to use. And in her case it's a win-win situation. We did liposuction, we've got the fat. That can be a perfect material, and it can really last permanently. In most patients it does.

How you look at light's very important. I see too much highlight here, and I see too much shadowing over here. So we're going to replenish volume in Jacqueline's case. A little up in the temple area, a little in the lateral cheek area, a big area. A very important area to do in Jacqueline's case is this lower eyelid tear-trough, as we call it, and the upper-middle cheek area, to make the cheeks more lifted. She has beautiful eyes, but this shadowing below her eyes really takes away. So the fat transfer in her upper-middle cheek area and lateral cheek is very important to do.

Jacqueline: Being Dr. Amron's patient care coordinator, I am in a very unique position. I get to see from beginning to end the entire process. He does really difficult lipo cases. Patients come to see him from all over the world for first-time lipo and revision lipo. They come to him for a reason and it's because he's the best. I really believe in his approach and his technique and I've seen so many happy patients leave this office over the last two years that I've been here that I am just so excited for myself, and I'm ready to go.

Dr. Amron: In terms of Jacqueline's surgery, the whole surgery itself including the mini-liposuction and the fat transfer is about an hour and fifteen minutes. It's a fairly quick surgery. The first part of it is putting the numbing fluid in. In this way I properly numb the area up but also hydrolyze the fatty tissue to get a much more pure fat removal for no bleeding and bruising. That took about fifteen minutes to do. She felt a little pinching as the fluid was going in. I'm very skilled in terms of how I stick that fluid in with very little discomfort. Then I used the [inaudible 3:49] system, which is a new system that I incorporate in my practice for fat transfer that I like a lot.

It has a number of advantages. First of all, it's a closed system. The fat is never exposed to the air to reduce the chance of infection, which I've never had anyway, but now there is an even lower level of chance of infection, as well as not exposing that fat to the air itself so it has the highest chance of survival in terms of fat grafting. It's a very purified product to transfer that's very clean and has a higher take in terms of survival of that graft into different areas of the face or body.

To extract the fat, while I'm doing liposculpture itself for the fat transfer to her face. But this is one important thing I want to say about fat transfer. People many times forget that fat transfer to areas of the face or body is really part of liposuction. You have to pay attention to how well the liposuction or liposculpture is done. When I'm targeting areas for fat transfer, I'm targeting disproportionate areas, and that's why somebody has to be properly evaluated in terms of where to target.

Fat Transfer and Mini Liposuction

David David Amron discusses Fat Transfer and Liposuction.